Practice RD Exam- Complete Exam

A job description:

Can be used for employee appraisals

Human milk has more _____ than formula or cow's milk

fat

The contingency approach to leadership states:

leadership style must change to fit the situation

What is the selling price for a hamburger in your cafeteria if you operate with a 45% food cost and the cost of a beef patty and bun are $0.7920?

$1.76

The score that occurs most frequently in a frequency distribution is what measure of central tendency?

Mode

The school meals initiative updates standards for school meals to assure they:

Are no more than 40% fat

A patient is newly diagnosed with renal failure and requires long-term dialysis. He is depressed about having to make major lifestyle changes and is in need of financial assistance. The dietitian's initial objective in the interviewing process should be t

establish rapport with the patient by getting to know him better before discussing nutrient needs

In 2002 the Institute of Medicine published a new set of definitions for dietary fiber. They suggested the following terms:

dietary fiber and functional fiber

In a hospital with 300 patients, it takes 14 minutes to prepare one meal. How many F.T.E. are needed for one week?

36.75

Mono and disaccharides do not:

provide 9 kcal/gram

Which foodborne pathogen is more of a concern in ground meat than solid-muscle meats such as steaks?

Escherichia coli

A 6'1'' male has bilateral below-knee amputations. What is his adjusted ideal body weight? Weight estimation in amputees: Foot: 2%, Lower leg below knee: 6%, Lower leg, above knee: 9%

73.6 kg

In making decisions, which of the following steps should be taken?

Recognize and analyze the problem, gather data, choose action, take action and follow-up.

Poverty and hunger affect some groups more than others. Those most at risk are:

female head of households, children and the rural poor.

The smoke point temperature for fats is:

above 442 degrees F

Your clinic provides nutrition intervention for parents of low-birthweight babies. What guidelines are used to determine low-birthweight?

Under 5.5 pounds

In writing a hospital menu:

patient, staff, and public dining areas should have a unified menu.

Lactose intolerance is caused by:

lactase insufficiency

To facilitate the receiving of goods, it is desirable to locate the receiving area near the:

delivery door

What is the median of the following frequency distribution: 1000, 2000, 3000, and 4000?

2500

Americans with Disabilities Act requires employers to make reasonable accommodations for individual employees.An example of an accommodation that employers could be asked to make is:

to provide a lavatory that is wheel chair accessible.

Policies are:

guides that define the scope of permissible activity.

The cause of an outbreak of a foodborne illness was traced to unpasteurized milk; symptoms included fever, nausea, headache. The likely source is:

Listeria monocytogenes

The TQM approach does not:

encourage specialized job and individual effort

Eggs can be held in cold storage for

6 months

The high fat content of ice cream helps keep it smooth by decreasing ice crystals. Other ingredients that reduce ice crystals include:

fat, corn syrup, or protein

Issuing discount coupons is a means of:

promotion

A patient on home TPN for the past month develops an elevated temperature with possible sepsis. This could indicate:

bacterial translocation

As a manager of a foodservice department, you hear that an employee was very upset with a decision made by a first line supervisor. This employee makes an appointment with the VP over foodservice's. The VP states that he cannot get involved at this time a

unity of command

Cardiac cachexia is characterized by:

significant loss of lean body mass

When food is prepared in a central area and transported to satellite units, it is called a ________ system.

commissary

When one person or department purchases for every department, it is called:

centralized purchasing

The degree of saturation for fatty acids is based on which on of the following?

The number of carbon-carbon double bonds

What are the two components of nutrition intervention?

Planning and implementation

What is the cost per meal if beginning inventory is $8439.52, ending inventory is $7850.76, purchases are $20,401, and 5963 meals were served?

$3.52

Two dietitians pose the following question in their research study: "What is the relationship between the number of protein supplements taken daily and the amount of weight gain?" The level of measurement of the variables is:

ratio

The renal threshold, the point at which the tubules reach their tubular maximum for glucose, is:

160-200 mg/dl

What is the recommended method when putting more than 1 oz of product in a recipe?

Scale

Identify the hormone that causes an increase in glycogenesis and lipogenesis:

insulin

Which vitamin is most likely to cause birth defects in the developing embryo if taken in mega doses during pregnancy:

Vitamin A

The protein in milk that precipitates at pH 4.6 is:

casein

Under what conditions would the mean, median and mode be approximately the same value?

When there is a normal distribution of scores

Factors that may result in nutrition problems in the elderly include all of the following except:

low hemoglobin rate

The bakery has had a lot of complaints about the toughness of bread made yesterday. The cook discovered one of his ingredients still on the counter. Which ingredient would result in tougher yeast bread if omitted?

Salt

A simple inventory costing practice that is also fast is the:

latest purchase price

LIFO refers to:

A storage procedure. (Last In, First Out)

The body mass index (BMI) is measured by:

wt/ht squared

A manager has no confidence in his leadership abilities. He does not set goals for the group. Productivity and morale are low and work is sloppy. The manager's leadership style is:

laisse-faire

The position concerned with obtaining the right product at the right time, and for the right price is:

purchasing agent

Provide nutritious meals within the federal and state guidelines. This is an example of:

a goal for school foodservice

The factors affecting basal needs include all of the following except:

heart rate

Which statement is an example of line authority?

An administrative dietitian in a 600 bed hospital.

Potential nutrition-related problems with inflammatory bowel disease include all of the following except:

pancreatic enzyme deficiency

Which of the following is the best indicator of visceral protein status in the hospitalized patient?

Albumin

Large sums of money needed for equipment, improvements, expansion, etc. are listed in the:

capital budget

A glucometer is checked for accuracy by correlating the readings to serum glucose levels. Repeatedly, the readings are precisely the same. This indicates:

validity

In developing guidelines for professional practices in ethical decision making: which principle would not be used?

Maleficence

A 37-year-old patient is admitted with chronic alcohol abuse and continues to consume excessive alcohol. Which of the following vitamins should be recommended?

Thiamin and folate

The process of learning the beliefs, attitudes and behaviors of a group is:

enculturation

Appropriate span of control is determined by:

complexity and proximity of the jobs, quality of the people, abilities of the supervisor

If collective bargaining has not been successful, the next step is:

mediation

Folate supplementation is important for all women during childbearing years. Folate is required for cell growth and division and is therefore necessary for fetal and placental development. Which of the following statements explains the importance of folat

neural tube forms in the first 18 days after conception

Several major changes in the production system were announced months ago. Employees had a negative attitude at the time. Now that the equipment is being installed, employees are verbally negative to the changes and uncooperative toward management. What se

The employees perceive that the equipment does not meet their needs

At age 1, cow's milk is the primary source of nutrients; however, it should be limited to 2-3.5 cups because excess:

may displace food necessary to provide iron

You have been instructed by the hospital administrator to manage the cafeteria as a break-even operator. Administration will no longer subsidize the budget. You should:

consider branding and HMR

Which one of the following terminology is NOT associated with Total Quality Management?

Forecasting methods

You have found a home recipe that you would like to serve in the hospital cafeteria. What is the best method in developing a large quantity recipe that maintains the quality of the original recipe?

Expand the recipe in increments, evaluate and adjust the recipe at each step.

You manage the foodservice department at an LTC facility with a stable census of 350. You notice that over the past few weeks there has been an increase in overtime paid. Which is not a possible cause?

Realistic work schedules

The recommended medical nutrition therapy for active peptic ulcer disease is:

diet as tolerated; avoid pepper, alcohol and coffee

What does it mean to have a prime supplier or a single source supplier?

This supplier is used for most purchases.

How many meals were served per labor hour if 34 FTE produced 3800 meals in one 40 hour week?

2.79

An instrument that measures accurately and consistently is said to be:

valid

Overproduction is:

not desirable and should be controlled

A cookie recipe calls for one cup of butter. You will be using shortening instead. How much shortening should you use?

7/8 cup

The February income statement shows that 2450 meals were served $7616 paid in labor. What is the labor cost per meal for February?

3.11

More than 2000 additives are used today, as important ingredients of processed and convenience foods. Which of the following additives are meat tenderizers?

Papin and bromelin

When you are in the clinic, you receive a phone call from an individual who states she has diabetes and wants to know how to count quinoa in the exchanges. What is the exchange?

1/3 cup is a starch

Which group or groups are most at risk for undernutrition?

Children and older adults

The kitchen closed early due to a tornado drill. The deep fat fryer was not filtered. At dinner the next day, customers were complaining that their eyes were burning and there was an unpleasant odor in the dining room. What happened?

Lipolysis

An example of a productivity ratio is:

labor cost divided by meals served

The process of converting unsaturated fatty acids to saturated by the chemical addition of hydrogen is called:

hydrogenation

A patient interviewed by the dietitian reports he develops gas and bloating when milk is consumed. This information should be documented in which section of a SOAP medical record entry:

subjective

What program's goals include increasing life span, reducing health disparities, and providing preventative services for all?

Healthy People 2000

If you are concerned about possible food contamination, it would be safer to eat a steak than a hamburger because of what bacteria?

Escherichia coli

Your hospital has recently become involved in a cooperative program between local businesses and the public schools to reduce the drop out rate. As the production manager, you have been told to provide hands-on training for three at-risk students. The stu

contact human resources and review the FLSA restrictions that may apply due to their ages.

In the NCPM, which nutrition intervention involves the transfer of knowledge, specific to the knowledge deficit identified in the nutrition diagnosis PES statement?

Nutrition Education

The average coefficient of digestibility of protein is:

92%

Iodine constitutes a significant part of which two hormones?

Thyroxine and triiodothyronine

The program that was designed for non-profit, non-residential daycare facilities is:

Child and Adult Care Food Program

Flavor is termed organoleptic because it is determined by:

a blending of odor and taste

Gluten can be extracted from dough made from flour and water by:

rinsing with water

If a child is chronically malnourished in what order would the growth parameters be affected?

Weight first, length, then head circumference

Lignans which are found in flax seed, wheat bran, oats and barley contain both:

anticancer and phytoestrogen properties

The patient has severe acute pancreatitis with nausea and vomiting, and requires 2500 kcals per day. Which regime would the dietitian recommend?

1000 cc of D50 W, 1000 cc of 7% amino acids and 500 cc of 10% lipids

When a food is cooked from the outside toward the center by direct contact with the pan, the transfer of energy has taken place by:

conduction

The plasma lipoprotein richest in cholesterol:

low density (LDL)

What process in a food service operation includes products, pricing, employees, decor and service?

Marketing

The cause of an outbreak of a foodborne illness was traced to Brie cheese. What bacterium is probably responsible?

Listeria monocytogenes

How many FTEs will it take to staff 12 positions, 8 hours a day, 7 days a week?

16.8

The menu planner should study the population to be served. Which of the following data is the least important to study?

Past experience and opinions with that type of foodservice

An iron-storage disease, caused by a genetic defect, whereby high amounts of iron are absorbed and stored in tissues that do not normally store iron is:

Hemochromatosis

A class C fire includes:

electrical equipment, motors and switches

A surveillance team used to indicate how frequently a disease occurs in a population, and the fraction of people free of disease that develop the disease over a period of time is:

incidence

The nutritionist uses ______ to help people change their lifestyle

interventions

What is the proper way to cool a large stockpot of clam chowder?

Divide into shallow stainless steel pans and place them in an ice-water bath.

Breast-feeding is preferred because it provides physical, economical and other advantages. Which is not an advantage of breast-feeding?

It is not always convenient

A new cereal is going to be marketed and the company wants to do a food preference survey. What would be the best approach?

Hedonic scale

You are nearing the summer months and must plan for vacation coverage on the work schedule. You have a staff of 40; all are entitled to vacation time ranging from one to four weeks depending on seniority. You should:

utilize temporary or leased employees

The "Determine Your Nutritional Health Checklist" is:

a screening tool for nutritional status

Symptoms associated with diabetic ketoacidosis (DKA) include all of the following except:

hypercalcemia

Span of control refers to the number of:

employees under the direction of one individual

Which of the following foods are responsible for the majority of allergic reactions?

Peanuts, eggs, milk

The orange color of carrots is stable during cooking because:

carotenoids are heat stable and fat soluble

The main role of human resource managers in a large institution is to:

keep up-to-date on legislation and act as a resource to department managers

Because some cooking oils turn cloudy when refrigerated oils intended for salad dressing as treated by:

winterization

Lack of proper handwashing is commonly associated with:

shigella

You attend a party with several friends where a variety of hot and cold finger foods were served. The food tasted great, but on the way home, a few of you complained of abdominal cramps. After a day of cramps and diarrhea you feel fine. A possible cause f

staphylococcus aureus

Deep and gasping respirations, as developed in acute diabetic ketoacidosis, are called:

Kussmaul respirations

What is the difference in pudding made with egg substitute instead of a whole egg?

Coagulation temperature is lower

According to Bloom's taxonomy, what type of learning is involved when a client demonstrates how to cook a meal unassisted?

Psychomotor